Surgical instrument and method of using the same



June 11, 1940. KESUNG 2,204,275

SURIGAL INSTRUMENT AND METHOD OF USING THE SAME Original Filed Feb. l5, 1936 3 Sheets-Sheetil June 11, 1940. E. G. KESLING SURIGAL INSTRUMENT AND METHOD OF USING THE SAME Original Filed Feb 15, 1936 3 Sheets-Sheet 2 n 0e n25? ma 4 29 1 June 11, 1940. KESLlNG I 2,204,275

SURIGAL INSTRUIENT AND METHOD OF USING THE SAME Original Filed Feb. 15. 1936 5 Sheets-Sheet 5 Patented June 11, 1940 UNITED STATES SURGICAL INSTRUMENT AND METHOD OF USING THE SAME Elmer G. Kesling, Bloomfield, M0.

Application Claims.

This invention relates to surgical instrument and method of using the same, and to the type of instrument for performing massage of the prostate gland, and more especially to the type 5 for use in performing auto-massage of the prostate gland.

Objects of the invention are To provide a device that may be easily manipulated in automassaging the prostate gland; to provide a device having a massaging beak capable of being closed to facilitate easy introduction to and removal from the parts to be massaged, and of being held open during the massaging manipulations to increase the massaging efiiciencypto provide a device including an elastic shield for the massaging beak to not only insulate the massaging beak from the body tissues and possible contents of the rectum, but also to provide an elastic massaging surface; to provide a device in which said elastic shield may be readily and easily placed uponand removed from said massaging beak; to provide a device having an abutment piece for gauging the depth of insertion of the massaging beak; and to provide a device having means in connection with the shank for holding the beak in the open or massaging posi: tion.

Various other objects and advantages of the invention will be made apparent'from the follow- 3 ing description, reference being made to the annexed drawings, in which- Fig. 1 is a perspective view of the invention showing the invention without the elastic shield in place.

Fig. 2 is a perspective view of the invention in reduced size showing the beak closed and the elastic shield in place.

Fig. 3 is a perspective view of the invention in about the same size as Fig. 2, but showing the w beak opened and the elastic shield in place.

Fig. 4 is a sectional view approximately on the line 4-4 of Fig. 1.

Fig. 5 is a sectional view approximately on the line 5-5 of Fig. 4.

Fig. 6 is an enlarged sectional view approximately on the line 6-6 of Figs. 1 and '7.

Fig. 7 is a View partly in section approximately on the line 'II of Fig. 6.

Fig. 8 is a diagrammatic, sectional view showing the application of the invention.

Fig. 9 is an enlarged sectional view approximately on the line 9-9 of Fig. 8.

This invention comprises an instrument having a beak, a shank, an abutment, a handle and a clasp, together with an elastic shield for the February 15, 1936, Serial No. 64,016

Renewed June 5, 1939 beak and abutment. It is to be understood that I do not restrict myself to any particular shape or design of the several parts or to the presence of all said parts so long as the instrument may be used and be made to function in the required manner. It can be easily seen, for instance, that the part termed the handle could be omitted wherein the part termed the shank would become the handle.

In the embodiment shown, the beak consists of the projecting lateral parts I and 2 which are continuous with the shank parts 3 and 4, respectively. These lateral parts I3 and 2-4 are pivotally connected together by a link 5 having one end extending into a slot 6 formed in the part I-3 and pivotally secured within by a pin I and the other end extending into a slot 8 formed in the part 2-4 and pivotally secured therein by a pin 9.

The shank 34 is bent in a substantially semicircular form from the beak I-2 to the handle I0, and at the junction with the handle I0 said parts 3 and 4 are bent substantially at a right angle forming parallel ends II and I2, respectively, which extend in substantial alignment with said pins I and 9 and which are rotatively mounted in holes I3 and I4, respectively, being secured therein by the respective notches I 5 and I6 formed in said parts II and I2, which engage a screw or pin I'I secured in a hole I8 in the handle Ill.

The beak parts I and 2 are bent away from themselves at about the junction with the shank parts 3 and 4, respectively; and the parts I and 2 may be also slightly bent toward themselves at about their middle portion giving said parts I and 2 substantially parallel relation when in the opened position. Also, the parts I and 2 may be slightly bent near their ends in the direction of the handle I 0 giving the beak I-2 a slight hook-like form.

A clasp I9 is provided for sliding movements along the shank 3- 1. 7

It will be noted that when the clasp I9 is in the position shown in Fig. 1, that is: adjacent the handle III, the beak I2 may be opened and closed freelywhich action rotates the parts II and I2 in the holes I3 and I4, respectively, and pivotally moves the link 5 upon the pins I and 9; and that said closing action results in moving the circular shank parts 3 and 4 away from from one another or out of parallel relation, while said opening action results in moving said circular shank parts 3 and 4 toward one another or into parallel relation. Therefore, it can be readily seen that when the clasp I9 is placed at the central portion of the shank 34, the parts 3 and 4 will be held in parallel relation resulting in positively holding said beak l2 in the open position, as shown in Figs. 3 and 7.

Semi-cone shaped parts 20 and 2| are adjustably secured to the shank parts 3 and 4, respectively, adjacent the beak l2 by screws 22 or otherwise.

In using the instrument, a shield 23 of elastic fibrous material or of rubber is placed over the beak I2 and abutment 20-2l. The open end of the elastic shield 23'when in place will draw or contract over the edge of the abutment 202l and hold the shield 23 in place. It has been found that a shield similar in shape and construction as the ordinary rubber finger cot is practicable for use with this instrument. It will be noted that when the shield 23 is in lplace and the clasp I9 is placed adjacent the handle 10 as in Fig. 2, the elasticity of the shield 23 will hold the beak l2 closed; and that when said clasp I9 is placed midway of the shank 3l, the beak l2 will be positively held open by said clasp l9 against the elastic action of the shield 23, as in Fig. 3.

Before applying the instrument for the massaging operation, it has been found advisable to apply a lubricant such as Vaseline to the outside of the shield 23, or at least to that part of the shield 23 covering the beak l2.

In the use of the instrument, the closed beak l2 with the shield 23 in place and lubricant applied is inserted through the anus 24 into the rectum 25. It will be noted that the abutment 2ll2l acts to regulate the depth to which the instrument is inserted. After having thus inserted the instrument, the beak is opened by moving the clasp IE to the position shown in Figs. 3 and 8. It is seen that this opening of the beak l2 results in stretching the shield 23 over the opened beak I2 and thereby forming a broad elastic massaging surface 26. This surface l 26 together with the beak parts and 2, upon 45 massaging of the prostate gland 2?, and also the proper manipulation of the instrument, causes a seminal vesicles 28 if the instrument has been inserted a sufficient distance. It is a known fact that the rectum has a very elastic wall and is surrounded by considerable connective tissue which is itself also elastic. Therefore, it is easily understood why the mere distortion of the rectum and surrounding tissue by the opening of the inserted beak of the instrument does not cause pressure upon or any effective massaging to the prostate gland, unless a manual movement directs the open beak of the instrument toward and against the gland to cause an unnatural pressure upon said gland. It is obvious that, in this massaging manipulation, the beak parts I and 2 and the elastic surface 26 will substantially cooperate to grip and squeeze the prostate gland. The massaging is effected through the rectal wall 29 and against the pubic symphysis 3D and other adjacent tissues and causes fluids contained in the prostate gland 2'! and the seminal vesicles 28 to flow through the natural channels or ducts into the urethra 3|. After the massaging manipulation has been completed, the beak 2!l-2l is allowed to again close by moving the clasp l9 to the position shown in Figs. 1 and 2; and finally the instrument is removed and the shield 23 is taken off of the instrument and discarded. A new shield 23 is used for each massaging operation.

This massaging operation is generally known as-the massage of the prostate-even though a massage of the vesicles may have also been effected; therefore in this application and throughout the appended claims where the massage of the prostate is referred to, it is understood that it may also meanthe massage of the vesicles.

It has been found that a certain amount .of massaging of the prostate may be accomplished without opening the beak as above recited, but massaging with the beak opened is the preferred method.

It is obvious that with such an instrument as shown an individual can massage his own pros tate gland and seminal vesicles with ease.

It is now plain that I have shown and described an instrument as well as a method by which such instrument may be used to automassage the prostate and vesicles, as desired.

What I claim is:

1. An instrument of the character described comprising a beak consisting of a pair of jaws, a handle, a curved shank member connected to each of said jaws, means for rotatively mounting said shank members in said handle, and means pivotally connecting said jaws at the junction of said jaws with said shank members.

2. An instrument of the character described comprising a pair of jaws, pivotal means connecting said jaws, a handle positioned substantially at right angles to said jaws, and curved shank members connected to said jaws respectively and mounted for rotative movements in said handle on a line substantially with said pivotal means.

3. An instrument of the character described comprising a pair of jaws, pivotal means connecting said jaws, a handle positioned substantially at right angles to said jaws, curved shank members continuous with said jaws respectively and pivotally connected to said handle substantially in line with said pivotal means, and an abutment mounted on said shank members adjacent said jaws.

4. An instrument of the character described comprising a pair of jaws, pivotal means connecting said jaws, a handle positioned substantially at right angle to said jaws, curved shank members continuous with said jaws respectively and pivotally connected to said handle substantially in line with said pivotal means, an abutment mounted adjacent said jaws, and an elastic shield for said jaws and said abutment.

5. The method of massaging the prostate gland consisting of inserting an expansible means carrying an elastic surface into the rectum, expanding the said means to open the same to form a rigid fork and manipulating said instrument in such a manner to compress or squeeze said gland.

ELMER G. KESLING. 

